ADHD in Children and Adolescents (September/October)

This double issue highlights the effectiveness of using an integrative medicine approach for treating children and adolescents with ADHD. Also covered in depth are parameters for choosing medications for ADHD, as well as a full-page ADHD Pediatric Stimulant Comparison Table.

In This Issue

We’re pleased to introduce Joshua D. Feder, MD, as the new editor-in-chief of the Carlat Child Psychiatry Report. Dr. Feder attended Boston University School of Medicine, and did his internship and psychiatry residency at the Naval Regional Medical Center in San Diego, followed by a child and adolescent psychiatry fellowship at Tripler Army Medical Center in Honolulu.

We all hear that the problem is that every child with bad behavior is given a stimulant. In actuality, the saddest cases are the children who have not been identified despite chronic academic underperformance and behavioral problems.

Modafinil (Provigil) is FDA-approved for narcolepsy, obstructive sleep apnea, and shift work sleep disorder, but not for ADHD. Given that it has some of the same stimulating properties of psychostimulants, it should theoretically be effective.

Dyslexia, a learning disability characterized by difficulty in reading skills, is highly prevalent, with rates between 5% and 17%. Treatments include non-medical interventions, which have limited success.

Why do children with autism spectrum disorder (ASD) have tantrums? One theory is that these tantrums are due in part to children’s frustration with not being able to express themselves. This theory has led to a treatment approach called “mand training.”

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A National Merit Scholar, Dr. Feder studied engineering and mathematics at Boston University, then continued in medicine on a Naval scholarship. He completed psychiatry residency at Naval Regional Medical Center in San Diego, served during the first gulf war and completed a child and adolescent psychiatry fellowship at Tripler Army Medical Center in Honolulu, and eventually became Chief of Child Psychiatry and a faculty member at the Uniformed Services University of the Health Sciences at the National Naval Medical Center in Bethesda, MD. Dr. Feder is now in active clinical practice in Solana Beach, California, serves as an adjunct professor at Fielding Graduate University, and does clinical research at UCSD School of Medicine. Dr. Feder is also active in developing technology to help people with autism and related challenges and serves as a senior consultant to the International Network for Peace Building with Young Children. In 2018 he co-authored the Child Medication Fact Book for Psychiatric Practice.